<html>
<head>

<title>Create Case</title>
</head>
<body>
<form action="WordExport.php" method="post">


<table width="480" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <th scope="row">&nbsp;</th>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <th scope="row"><label>Free text here</label>&nbsp;</th>
    <td><label>
      <textarea name="txtFreetext"></textarea>
    </label></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <th scope="row">&nbsp;</th>
    <td><input type="submit" name="Submit" value="Submit" /></td>
    <td>&nbsp;</td>
  </tr>
</table>

</form>
</body>
</html>
